AFC Care Manager

UCP of Western Massachusetts; North Adams (MA); On-site; USD 60,000 - 80,000; Full time

Job summary

UCP of Western Massachusetts in North Adams, MA is seeking a Care Manager to provide care coordination, caregiver support, advocacy, and resource navigation through our Adult Family Care (AFC) program. The Care Manager works with members, families, healthcare providers, and community partners to help individuals remain safely supported in their homes and communities.

The role combines assessment, plan development, home visits, documentation, and ongoing care coordination to ensure services meet

Qualifications

• Bachelor's degree and Social Work license (LSWA/LSW/LCSW/LICSW) in good standing; or at least two years of recent experience with elderly or disabled adults.
• Significant clinical experience with elderly or disabled adults may be considered.
• Knowledge of case management, community resources, and person-centered service planning preferred.
• Familiarity with Adult Foster Care or Shared Living models preferred.
• Strong assessment, organization, documentation, problem-solving, and communication skills.
• Ability to work independently and manage a community-based caseload.
• Must have a valid driver's license and access to a private vehicle.
• Must pass background checks (CORI, SORI, DPPC, fingerprints).

Responsibilities

• Coordinate and monitor services and supports for AFC members.
• Conduct assessments of members and qualified caregiver home settings.
• Develop, implement, and review individualized plans of care.
• Conduct regular home visits and complete required documentation and progress notes.
• Obtain social histories and complete psychosocial assessments.
• Provide orientation, training, support, and ongoing guidance to caregivers in collaboration with nursing staff.
• Monitor member health, safety, and well-being and respond to urgent needs as they arise.
• Assist members and caregivers in accessing healthcare, community resources, and other supportive services.
• Develop emergency backup and contingency plans to support member safety.
• Maintain communication with caregivers, families, healthcare providers, and interdisciplinary team members.
• Ensure compliance with AFC program requirements and documentation standards.
• Participate in investigations, discharge planning, and other member support activities as needed.

Skills

Assessment skills

Organization

Documentation

Communication

Problem-solving

Independence

Education

Bachelor's degree & Social Work license

Tools

Microsoft Office

Electronic documentation systems

Virtual meeting platforms

Job description

Job Type: Full-time
Schedule: Mon-Fri
Location: North Adams, MA office with caseload throughout Berkshire County

Are you looking for meaningful work supporting older adults and individuals with disabilities in community-based settings? UCP of Western Massachusetts is seeking a Care Manager to provide care coordination, caregiver support, advocacy, and resource navigation through our Adult Family Care (AFC) program. The Care Manager works closely with members, caregivers, families, healthcare providers, and community partners to help individuals remain safely supported in their homes and communities. This position combines assessment, case management, caregiver training, and ongoing care coordination to ensure members receive quality services that meet their individual needs.

Care Manager Responsibilities

• Coordinate and monitor services and supports for AFC members.


• Conduct assessments of members and qualified caregiver home settings.


• Develop, implement, and review individualized plans of care.


• Conduct regular home visits and complete required documentation and progress notes.


• Obtain social histories and complete psychosocial assessments.


• Provide orientation, training, support, and ongoing guidance to caregivers in collaboration with nursing staff.


• Monitor member health, safety, and well-being and respond to urgent needs as they arise.


• Assist members and caregivers in accessing healthcare, community resources, and other supportive services.


• Develop emergency backup and contingency plans to support member safety.


• Maintain communication with caregivers, families, healthcare providers, and interdisciplinary team members.


• Ensure compliance with AFC program requirements and documentation standards.


• Participate in investigations, discharge planning, and other member support activities as needed.

Care Manager Qualifications

• Bachelor's degree and either:
  
  
  
  • Social Work license (LSWA, LSW, LCSW, or LICSW) in good standing; or
  
  
  • At least two years of recent experience working with elderly or disabled adults.
  
  
  
  


• Candidates with significant clinical experience working with elderly or disabled adults may also be considered.


• Knowledge of case management, community resources, and person-centered service planning preferred.


• Familiarity with Adult Foster Care, Shared Living, or other community-based service models preferred.


• Strong assessment, organization, documentation, problem-solving, and communication skills.


• Ability to work independently and manage a community-based caseload.


• Ability to maintain confidentiality, professional boundaries, and cultural competence.


• Ability to maintain Adult CPR and First Aid certification (training provided).


• Basic computer proficiency, including Microsoft Office, email, electronic documentation systems, and virtual meeting platforms.


• Ability to work flexible hours as needed to meet member needs.


• Must have a valid unrestricted driver's license, proof of insurance, and access to a private vehicle.


• Must possess a cell phone capable of installing an approved MFA security app for communication and emergencies.


• Negative Mantoux TB screening within 12 months prior to employment start date.


• Must pass CORI, SORI, DPPC, and national fingerprint background checks.

About Us

As part of the UCP affiliate network, UCP of Western Massachusetts offers a variety of community programs and services for persons with disabilities and other similar service needs, including Assistive Technology, Early Intervention, Individual and Family Support, and Adult Family Care. UCP has offices in western Massachusetts and is COA accredited. UCP of Western MA is guided by a set of core principles - Respect, Integrity, Communication, and Empathy. Our team is dedicated to providing a \"Life Without Limits\" for people with differing abilities, and we are seeking a motivated and talented individual who shares our commitment to these principles to join us in our mission. Learn more at http://ucpwma.org